A patient presenting to the emergency room from the site of a chemical fire has a burn that involves the epidermis, dermis, and the muscle and bone of the right arm
The patient verbalizes no pain in the right arm, and the skin appears charred. Based upon the assessment findings, what is the depth of the burn on the patient's right arm?
A) Superficial partial-thickness
B) Deep partial-thickness
C) Full partial-thickness
D) Full-thickness
Ans: D
Feedback: A full-thickness burn involves total destruction of the epidermis and dermis and, in some cases, underlying tissue as well. Wound color ranges widely from white to red, brown, or black. The burned area is painless because the nerve fibers are destroyed. The wound can appear leathery; hair follicles and sweat glands are destroyed. Edema may also be present. Superficial partial-thickness burns involve the epidermis and possibly a portion of the dermis, and the patient experiences pain that is soothed by cooling. Deep partial-thickness burns involve the epidermis, upper dermis, and portions of the deeper dermis; the patient will complain of pain and sensitivity to cold air. Full partial-thickness is not a depth of burn.
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A. "Children younger than 1 year old cannot take this medication," B. "I'm not sure; let's see how much your baby weighs today." C. "No, children can't take it because it contains aspirin products." D. "Yes, and you can take it, too, if you develop flu symptoms."
The nursing student does not know if she has ever had chickenpox. When an antibody titer to varicella zoster virus is performed, the titer is negative. What is the correct interpretation of this finding?
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What disorder of the thorax or lung best describes her symptoms?
A 47-year-old receptionist comes to your office, complaining of fever, shortness of breath, and a productive cough with golden sputum. She says she had a cold last week and her symptoms have only gotten worse, despite using over-the-counter cold remedies. She denies any weight gain, weight loss, or cardiac or gastrointestinal symptoms. Her past medical history includes type 2 diabetes for 5 years and high cholesterol. She takes an oral medication for both diseases. She has had no surgeries. She denies tobacco, alcohol, or drug use. Her mother has diabetes and high blood pressure. Her father passed away from colon cancer. On examination you see a middle-aged woman appearing her stated age. She looks ill and her temperature is elevated, at 101. Her blood pressure and pulse are unremarkable. Her head, eyes, ears, nose, and throat examinations are unremarkable except for edema of the nasal turbinates. On auscultation she has decreased air movement, and coarse crackles are heard over the left lower lobe. There is dullness on percussion, increased fremitus during palpation, and egophony and whispered pectoriloquy on auscultation. A) Spontaneous pneumothorax B) Chronic obstructive pulmonary disease (COPD) C) Asthma D) Pneumonia
A nurse orienting to the home health role states, "I don't understand why we have to collaborate with so many other disciplines; this conflicts with the concept of nurses providing all direct care to the client in the home?"
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